HomeMy WebLinkAboutPermit 3796B11 & 3797B11
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- COUNTY USE ONLY-
\PPlICATION FOR BUILDIN PERMIT
SCOTT COUNTY, MINNESOTA
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Project Address
Post Office City
I "}n~t,
IN\A'\,\4 LLI.
7ip
Permit number ~-i3-1l
Receipt number ~
~~~~~~~~~
APPLICANT FILL OUT INFORMATION BELOW:
Applicant f:F!?1lLJl ClJ f.\F I: :fA nI Phone (Home) 'l-S/7-ffAl (Work) SA-m e
Address 17/L~1, /YJ/JPL e LIJIIIB City/b~ J/J)!f State I71N Zip ST.3 7 ~
Owner (if other than Applicant) Phone (Home) (Work)
Address City State Zip
Contractor Name JtJIJI( S"TA("'(,c,,) Phone (Home) ~y'7-.})1l(Work) 5/J/ni:
Address 16~/7~A1,L(",:..L..- C.i:u. fiC:. Citym~ LAi'e State t:!1# Zip S-J:.3 7~
State Contractor's License Number /71 III q,;). <I ~
Project Legal Desc.
Parcel No.
No. Acres
Se~
Lot
Block _ Subdivision Name
~ 4. ~ De. ~
use'
The above applicant applies for a permit to.
(erect. construct, enlarge. alter. repair. move. improve, remove or convert as case may be)
(house, garage, deck, reroof, etc,)
Typeofconslrucllon:Wood .. Masonry_Other _ Typeofhealingsyslem
Dimensions of structure - /~ V ~
Estimated cosl or value Number of Bedroom.
NOTE: A survey Is required by a registered surveyor lor all new home applications on IllS than 10 acres.
"a survey is not required, a Plot Plan must be submitted. Please contact the Building Department lor a complete list
of items required for permit approval.
Applicant hereby agrees that, upon issuance of this permit, all work shall be done and all materials used shall be in
compliance with any applicable township, city and county ordinances. The applicant agrees to abide by all zoning
regulations, and utilize this structure for its permitted use.
~
Applicant's Signature.
A,b~
;ate
9. .
91
~TOWNSHIPORCITYUSEONLY~
Recommend Approvai
Recommend Disapproval
~ubject to the following conditions:
Signature of Township or City Clerk (or representative)
Date
~-"""~COUNTYORCITY PLANNING USE ONLY ~
Minimum setbacks: Road
Side
Rear I ake/Creek/Wetland Zoning district
By Planning/Environmental Health, subject to existing regulations and the
Approved nenied
following conditions:
Signature Planning) Date
Slgnalure(Envlronmental Health) Date
~-......~~ COUNTY BUILDING USE ONLY ~~~
APprove.d -l',/~~en' RYBUi~O.fficlalsUb' tO~isti". gUlationsa~t~~lngCOndltlon .
~--r-~/:>.6.~~ ~Lhk:'~4 ~~...
s'ature ~~F d~' . ()- Date 9-/1';-;:-
./ /. t/f-,/ ~ -
~ - ---~~~~ ~--
Additional Comments: FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
PlbgJMech. State Surcharge
Bldg. State Surcharge
Building Permit
Plan Check
Erosion Control
~ 51\
15 n(J
TOTAL FEE
JC) S1L
06600-2805 (10-961M)
White.County Yellow-Township Pink. Applicant Gold-Township
Township/City
"
WPLlCATION FOR BUILDIN-- PERMIT
SCOTT COUNTY, MINNE:;:>OTA
SSP.. sPRING LAKE TOWNSHI~P
- COUNTY USE ONLY -
-~~~~
~
Project Address
Post Office City
I f) () ~L,
N\./t- ~\ 4... LJ
Zip
Permit number :":> 119 r")~~- \\
Receipt number) Ol q "3 ~
~~~~--~~~
APPLICANT FILL OUT INFORMATION BELOW:
Applicant Gerald Guderian Phone(Home)4.4..7 'i4?O(Work)
Address 17056 Maole Lane City Prior Lal&late MN Zip
Owner (if other than Applicant) Same as an01 ; ""ot, Phone (Home) (Work)
Address p._ City State Zip
Contractor Name ?? L 0 v:P S S -r 1'1 s;:.<; E JJ Phone (Home) ,,1./7-.;l)'7S'(Work)
Address /6'h I? elfEEK'S,f/)/,;r:.::r,('. s.I3'Cily Pli'fllR. LP,f&State hi hI Zip
State Contractor's License Number ?? m N 9,;JJf :3
'i'i'17?
.s 1"/7>715
.:r..r ~ 7 ".
Project Legal Desc.
Parcel No.
No. Acres
Se~
Lot
Block __ Subdivision Name
The above applicant applies for a permit to: ~~r<;.e.n ~ nEC,"
(erect. construct, enlarge, altar, repair, move. improve. remove or convert as case may be)
usP'
(house, garage, deck. reroof, etc.)
Type 01 conslrucllon:Wood X Masonry_Other _ Typeolheatlngsystem
Dimensions 01 structure .,<>"?,, V ,?,
Estimated cost or value
lIJNKNOWN
3"l9o . /to
Number of Bedroom,
NOTE: A survey Is required by a registered surveyor lor all new home applications on less than 10 'cres.
"a survey is not required. a Plot Plan must be submitted, Please contact the Building Department for a complete list
of items required for permit approval.
Applicant hereby agrees that, upon issuance of this permit, all work shall be done and all materials used shall be in
compliance with any applicable township, city and county ordinances. The applicant agrees to abide by all zoning
regulations, and utilize this structure for its permitted use.
vC;;J&r!: M/a:v
-' - Applicant s Signaturf Date - - --
"""-"""'-' TOWNSHIP OR CITY USE ONLY ~~~
$~-l-l),,..(,.l),~
~ ~ '7---92.
-~
Recommend Approval XX Recommend Disapproval ~ sU.bJectto the following conditions:
Signature ofTownshlp or City Clerk (or representative) /L .p!---I- Date 4 - 1 7 - 9 7
~~..oo~NTYOR CI~ING USE ONLY ....-.-..-~
Minimum setbacks: Roari...<,L~J ""~fd~~ /:';' Rear - I ake/Creek/Wetland 7':mlng dlstrict~-Z
Approved K' Denied By Planning/Environmental Health, subject to existing reguiatlons and the
following conditions' _ ~_
Signature Planning) -:;;;p~ ~~A? ./ Date C/-~---'P7
. ~ ..../ ==::::.. ~ ....,.-c
Signature (Environmental Health) ~ or- ~~_--c:.~ _ ~) ....ate Cj-dlC;--9 'J.
~COUNTYBUILDINGUSEONLY~~~
Approved r..e-5 ~d ~y Building O)tjcial subj~stingjfg~la~ons and th~~ conditions:
CVtJ, _~~.""- '<I- V-,- /!,~ /t.7.a-V f..i...eek/r ('
Signature \/ I?'vI,." ,Idu-~ Date /0- ~ - tIf)
~~~~~~~
Additional Comments:
FEES: Land Use Permit
(..1\"-\ C00 ~\u<<:'~~\I"'Y\"::::" Sewer Installation Permit
c.. '<- L-\l... \ '= 'i- '1--', ~-\- "';: 10 ~ (- Plumbing Permit
~O::.,\ c:, <t "00 '\- Du"'-~ do~' PlbgJMech. State Surcharge
~'L-,-\l-.. - ~\-.- <L.~ p.,.'~-~ ~ ..>\D\Bld9. State Surcharge
~ ~ -...J...:> \ -\-~ \...0\ JV ~C<..L.> S Building Permit ["20. ~
Plan Check ;/ ijj
Erosion Control
~.:1q
'I ~.Dll
4~
TOTAL FEE
\ riI \ .0"-
06600-2605 (10-961M)
White. County Yellow. Township Pink. Applicant Gold.Township
COUNTY OF SCOTT
INSPECTION NOTICE DATE TIME
PERMIT NO. ~ 7Cf 6 .- 13 - ('- SCHEDULED),! - 3 - 9 ?
TOWNSHIP/CITY COMPLETEn
l4r;,t I.. 4
PHONE: 496-8334 or 496-3475
/70,1-,
ADDRESS
OWNER
CONTRACTOR'
o FOOTING
o FOUNDATION
o FRAMING
o INSUlTATION
o WALL BD.
o FINAL
o PROGRESS
o DEMOL
o FIRE PREY
[] PLUMBING RI.
a MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
a SEPTIC INSTALL
[] SEPTIC MAINT
[] SEPTIC FINAL -l2-
[] PLUMB.lNG 'fINAL
[] lory -\l"t)O _
o SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o LAKESHQRE/WETLANDS
[] COMPLAINT
o FOllOW-UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE/CHIMNEY FINAL
o GAS LINE PRESSURE
o
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o PROJECT COMPLETION DATF'
(.) ~WORK SATISFACTORY: PROCEED
o CORRECT WORK & PROCEED
[] CORRECT WORK CALL FOA REINSPECT ION BEFORE COVERING
o CORRECT UNSAFE CONDITION WITHIN HOURS, INSPECTOR WILL RETURN
o STOP WORK ORDER POSTED. CALL INSPECTOR
o INSPECTION REQUIRED, CALL TO ARRANGE ACCESS
COMMENTS:
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o PHOTO TAKEN
BUILDING INSPECTION OFFICE
Courthouse A 102, 428 S. Holmes St., Shakopee, MN 55379
Call for the neX~lns n 2~;~.ce
Owner/Contr. ~~it. . _ )
Inspector ~\ - _I{J~ "\
O66O(J-2807 (6-975M)
White Copy/Inspector'S File Canary Copy/Records Pink Copy/Site
. COUNTY OF SCOTT PHONE: 496 8334 or 496-8475
INSPECTION NOTICE DATE TIME
PERMIT NO. '3 '1.33 - 2,- ~ SCHEDULED-1I- ~-'l~
TOWNSHIP*"" S L COMPLETEDl! . -;. ';'.'7.
L YJ n "'> I , \'N--..t.. y h. \-1.)
OWNER G. ~'l 6.", R.. '. f'> 1\,)
CONTRACTOR' L, c:::., '" P.- <:, 'S ~ ,.J
11.~
/I: ~n
ADORES'"
o FOOTING
o FOUNDATION
o FRAMING
s.: 0 lNSULTAT1QN ~
.... 0 WALL BO.:--,. ,......
~ ::;&..fINAL ,0\=:'"-<-
-:c 0 PROGRESS
(J) 0 DEMOL
~ 0 FIRE PREV
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o PLUMBING AI.
o MECHANICAL
o WATER HOOKUP
o seWER HOOKUP
o SEPTIC INSTAll
o SEPTIC MAINT
o SEPTIC FINAL
o PLUMBING FINAL
o
o SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW-UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE/CHIMNEY FINAL
o GAS LINE PRESSURE
o
COMMENTS:
;, C\~~\M~ V\ 0 ~,\ c,.
-\(\' \'Q ~',^it-,^-~l-II_ s". fJ,.
\U- -,,;.- I~
~\~P^\
PROJECT COMPLETION DATF.
a WOAK SATISFACTORY: PROCEED
"CORRECT WORK &. PROCEED
~ORAECT WORK CALL FOR REINSPECTION BEFORE COVERING
o CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN
o STOP WORK ORDER POSTED. CALL INSPECTOR
o INSPECTION REQUIRED, CALL TO ARRANGE ACCESS
o PHOTO TAKEN
BUILDING INSPECTION OFFICE
Courthouse A102, 428 S. Holmes St., Shakopee, MN 55379
Call lor the nex:~ 24 h~lrs ~dvance
Owner/Contr. on ~e. .' .y-~-~)
Inspector ~\ : l ~l/'-
06600-2807 (6-975M)
White Copy/Inspector'S File Canary Copy/Records Pink Copy/Site